Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $87.42 / $224.47	Facility		$87.42	$87.42	$224.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $107.87 / $224.47	Professional		$87.42	$107.87	$224.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.83 / $269.83 / $269.83	Facility		$269.83	$269.83	$269.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.94 / $144.94 / $269.83	Professional		$144.94	$144.94	$269.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $198.65	Facility		$170.89	$170.89	$198.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $167.21 / $182.19	Professional		$124.75	$167.21	$182.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $150.05 / $215.87 / $388.57	Professional		$150.05	$215.87	$388.57
United Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $100.96 / $168.27	Professional		$79.06	$100.96	$168.27